PG Cert Contemporary Restorative and Aesthetic Dentistry (Level I) www.dominic-hassall-training.co.uk
DAY 1 Periodontology Module Contemporary Periodontics Course introduction and philosophy o Cosmetic, aesthetic or restorative? o Dental care in the UK, changing treatment patterns Current concepts in diagnosis and monitoring periodontal disease The rapid and comprehensive periodontal examination Co-diagnosis and patient motivation/conversion Risk assessment and selling value in periodontics Perio: systemic interface GDP treatment of periodontal disease o Non-surgical, systemic antibiotics, local medicaments, photodynamic therapy, laser therapy, perio-flow what is the evidence? Peri-implantitis-diagnosis and treatment options Periodontal stability Periodontal restorative treatment planning exercises Learning objectives By the end of this session participants should have gained the following: An understanding of the current status of restorative and aesthetic dentistry in the UK and changing treatment patterns and future needs An understanding of the BPE (basic periodontal examination), indices and the role of genetic and microbial testing in the diagnosis and monitoring of periodontal disease An appreciation of the role and methods of co-diagnosis in patient conversation and motivation A system for rapid risk based periodontal examination An insight into current opinions on links with systemic health and how to discuss this with patients An understanding of evidence based current treatment options and what represents periodontal stability An understanding of what periodontal diagnostic and treatment protocols to introduce into your clinical practice An over view of peri-implantitis Experience of perio : restorative treatment options and planning
DAY 2 Periodontal Module Aesthetic and Surgical Periodontal Procedures The Biologic Width Concept current evidence Implications of the biologic width on aesthetic restorative procedures Surgical crown lengthening for the gummy smile, gingival asymmetry and clinical crown height Socket and soft tissue preservation techniques in aesthetic and implant dentistry Root coverage and soft tissue augmentation for aesthetics Aesthetic gingival masks for compromised cases The ovate pontic concept in aesthetic and implant dentistry Lasers or electro-surgery? Hands on Practical Flap design and suturing techniques Surgical crown lengthening exercise Practical electro-surgery techniques Learning objectives By the end of this session participants should have gained the following: An understanding of the latest theories on the biologic width and why some patients experience recession/inflammation An understanding of how to access the biologic width and minimise aesthetic complications An understanding of surgical crown lengthening procedures for correction of gummy smile, asymmetry and clinical crown height/ferrule Practical experience of crown lengthening procedures and stages A knowledge of socket preservation and the ovate pontic technique for soft tissue handling in the aesthetic zone A knowledge of aesthetic periodontics including root coverage procedures and gingival masks An understanding of the role of lasers and electro -surgery in restorative and aesthetic procedures Practical experience of electro -surgery techniques
DAY 3 Complex Treatment and Assessment Module Rapid and comprehensive risk based patient assessment The foundation for successful restorative, aesthetic and functional treatment Periodontal Tooth based Occlusal/TMJ Aesthetic The role of co-diagnosis in patient communication and care plan conversion The role of the intra oral camera Models and information leaflets The role of clinical photography The essential views required for planning Patient communication, conversion and medico-legal aspects Point and shoot or digital SLR Data handling and practice marketing Hands on photography practical Rapid and comprehensive risk based assessment practical An understanding of the role of comprehensive but rapid risk based patient assessment as the basis for successful dentistry A system for rapid risk based patient communication The role of risk based patient assessment in increasing patient co-diagnosis and reducing complications An understanding of the importance of intra-oral cameras and clinical photography in contemporary dental practice An appreciation of point and shoot cameras versus digital SLR Knowledge of the important views required and their importance in aesthetic based treatment Practical experience of risk based treatment planning Practical experience of clinical photographic techniques
DAY 4 Aesthetic Foundations Module Rules and tools in smile design/aesthetic planning The aesthetic assessment sheet/check list Facially related tooth position, the basis of aesthetic planning Clinical stages in the aesthetic case Colour and shade selection in dentistry Customising characterisation Value, translucency, surface texture, dentine shades Successful laboratory communication Selecting appropriate tooth value, shape and form Gingival porcelains Identifying the high risk aesthetic case Aesthetic examination practical Shade taking exercise True shade Smile lite Laboratory prescription exercise Knowledge of how to undertake a risk based rapid, detailed aesthetic assessment An understanding of the clinical stages in the aesthetic: restorative case to increase aesthetic predictability Appreciate the role and limitations of cosmetic imaging Understand the role of colour, shade, value, translucency, surface texture, dentine shades and tooth form in shade matching and aesthetic dentistry Appreciate the role of customising characterisation and tooth form in successful shade matching and aesthetic dentistry Understand how to communicate colour, shade, value, translucency, surface texture, dentine shades and tooth form to the laboratory Understand the role of gingival porcelains in compromised aesthetic cases Practical experience of aesthetic assessment Practical experience of laboratory communication for shade, value, translucency, surface texture and dentine shading in aesthetic dentistry Practical experience of current shade taking devices Knowledge of how to identify the high risk aesthetic case
DAY 5 Aesthetic Foundation Module Treatment planning options in aesthetic and restorative dentistry Whitening, orthodontics, composite bonding, veneers or crowns? Current concepts in whitening o Home, non-vital, power o Medico-legal aspects o Techniques and maximising success The aesthetic and functional diagnostic wax up (the key to success) Porcelain veneers o From no prep to full coverage o Preparation guidelines, temporisation and cementation o Use of prep through guides and silicone indexes to biologically control preparation o Avoiding failure, patient selection, longevity and consent Veneer preparations Prep through and silicone indexes Knowledge of the treatment options in restorative: aesthetic dentistry including whitening, orthodontics, composite bonding or indirect restorations An understanding of home, non-vital and power whitening Appreciate the medico-legal aspects and maximising success in whitening Understand the role of the diagnostic wax up as the key to functional and aesthetic success An understanding of how to use prep through and silicone indices to minimise tooth removal An understanding of how to temporise veneers and undertake predictable veneer bonding An appreciation of the risk factors for veneer failure, patient selection and consent issues
DAY 6 Anterior and Posterior Aesthetics Module Bioclear Method Level 1 Techniques for modern anterior composite dentistry Bioclear Method background and method David Clark Matrix selection and adaptation Heating and injection molding of composite materials Biofilm removal Clark 2-step Polish technique Clark Class III cavity design with radius/infinity margin Injection molding for Class III restorations Black triangle closure/treatment Reshaping undersized teeth Treatment of peg laterals Cavity design including the infinity edge margin Anatomic David Clark matrix selection and adaption Injection moulding composite technique Rock Star 2 step polish Anterior deep class III caries Treatment of Black Triangles Diastema closure and reshaping of undersized peg lateral teeth By the end of the session participants should have gained the following An understanding of the Bioclear method including anterior cavity design using the infinity margin, injection moulding, and the 2-step Bioclear polish technique Be able to restore deep anterior cavities using the David Clark matrices and Bioclear method Be able to treat black triangle disease using the David Clark matrices and Bioclear method Be able to close diastemas using the David Clark matrices and Bioclear method Be able to reshape undersized teeth using the David Clark matrices and Bioclear method
DAY 7 Anterior and Posterior Aesthetics Module Bioclear Method Level 2 Introduction to Posterior Composites Modern science of durable posterior composite Prevention of white lines and visible margins in composites David Clark Matrix selection and adaptation Heating and injection molding of composite materials Biofilm removal Clark 2-step Polish technique Clark Class II cavity design Injection molding for interproximal Class II restorations Modernize G. V. Black cavity design to Clark Modern Composite Restoration New science of strong posterior restorations and teeth Marginal design and prevention of white lines or visible margins in composites Minimally invasive Clark Class II restoration with injection molding Anatomic Clark matrix selection and adaption Calla Lily preparation a tooth reinforcing preparation Achieving rock solid contacts with rounded, floss friendly embrasures. Rock Star 2 step polish By the end of the sessions participants should have gained the following; An understanding of the Bioclear method including posterior cavity design, injection moulding, and the 3- step Bioclear polish technique Be able to select correct anatomical matrix Understand the Calla Lily preparation Demonstrate excellent contact points
DAY 8 Anterior and Posterior Aesthetics Module Selection of contemporary crown and bridge materials o E.max and Zirconia o Conventional metal ceramic and gold o Composite materials o Chair-side and laboratory provisional restorations Use of preparation indices E.max preparations Zirconia preparations Metal ceramic preparations Full veneer gold preparations Learning objectives Be able to understand current crown and bridge materials and their indications and limitations in their use Be able to undertake successful all ceramic, metal ceramic, gold crown and bridge preparations Be able to undertake successful short term and long term provisional restorations Be able to select the appropriate material and recognise the inherent risks in currently available materials
DAY 9 Anterior and Posterior Aesthetics Module Direct or in-direct restoration Inlay/onlay or crown? Successful core techniques for vital/non vital teeth Successful post systems Contemporary bridge techniques o Successful adhesive bridges (metal and zirconia based) o Large span bridges o Fixed moveable bridges for angulation difficulties o Coping bridges for poor prognosis abutments Minimising failure in fixed prosthodontics and aesthetic dentistry Mechanical and biologic factors in failure Appropriate abutment selection Pulpal protection and the Pashley technique The importance of particle abrasion Predictable impression techniques and material selection Current recommendations in cement choice Core/post materials and techniques Patient and laboratory factors in failure Importance of the ferrule effect Inlay and onlay preparation techniques and temporisation Adhesive bridge techniques Learning objectives Be able to appropriately select an inlay, onlay or crown Appreciate current aesthetic and functional core and post materials and techniques for vital and non-vital teeth Be able to undertake successful adhesive bridge techniques Understand advanced bridge techniques including large span, coping and fixed moveable bridges Appreciate how to minimise complications and failure in fixed prothdotontics Be able to assess risk in abutment selection Be able to select appropriate cements Be able to undertake predictable accurate impressions Be able to undertake inlay and onlay preparations and predictable temporisation Appreciate the importance of and how to achieve the ferrule effect
DAY 10 Occlusion Module (Participants will require a set of study models of their own mouth for this session). Features of the ideal occlusion and the rapid occlusal examination Articulators and facebows why, which system and when to use? Mounting models on the articulator Occlusal analysis of study models Hands on Practical The facebow record Mounting models on the articulator Occlusal analysis Learning Objectives An understanding of the features of the ideal occlusion and how to examine the occlusion An understanding of the role of articulators in restorative and aesthetic dentistry Knowledge of the features of articulators for restorative and aesthetic dentistry An understanding of the facebow transfer and its importance Be able to undertake an accurate facebow record Be able to mount study models on the articulator Be able to undertake an occlusal analysis
DAY 11 Occlusion and Complex Treatment Module Successful occlusion for the GDP Comprehensive risk based rapid examination of the oro-facial muscles and joints Diagnosis of occlusal/tmj disorders Current concepts in the treatment of occlusion/tmj disorders (including bruxism) Role of splints in restorative dentistry and occlusion/tmj disorders (including bruxism) Clinical aspects of centric relation When to conform to or reorganise the occlusion Complex Treatment and Assessment Module Save or extract? Endodontics or implant? Preventative strategies for caries, tooth surface loss and periodontal disease Restorative/aesthetic treatment planning exercises Learning objectives By the end of the session the participants should have gained the following: An understanding of the principles of successful occlusion for the GDP Be able to rapidly assess occlusal/tmj disorders and recognise their importance Appreciate current evidence based concepts in the treatment of occlusal/tmj disorders (including bruxism) Understand the role of splints (anterior deprogrammer, flat plane, soft bite guard and restorative) in occlusal/tmj disorders (including bruxism) An appreciation of when to conform to the exiting occlusion or reorganise Understand the importance of centric relation as the foundation for the reorganised approach An appreciation of risk analysis in deciding saveable, questionable or teeth that require extraction An appreciation of when to endodontically treat or progress to implant treatment and risk factors for endodontic/implant treatment An understanding of current evidence based preventative strategies for caries, tooth surface loss and periodontal disease and be able to implement these into your clinical practice An understanding of restorative/aesthetic treatment planning exercises
DAY 12 Complex Treatment Module Marketing the advanced aesthetic practice Structured risk based patient consultation and case presentation Advanced treatments Tooth surface loss Aetiologies Localised tooth surface loss The Dahl appliance Generalised tooth surface loss Diagnosis Composite, indirect onlays and overdentures Assessing risk parafunction or erosion Aesthetic partial dentures o Role of attachments o Predictable attachments for the GDP; copings and locators Restorative/aesthetic treatment planning exercises Learning objectives An understanding of internal marketing methods and attracting new patients to your practice An appreciation of the risk based patient consultation and case presentation for new patients An understanding of the aetiologies of tooth surface loss and importance in predicting prognosis The treatment of localised tooth surface loss The Dahl concept An understanding of the role of direct composite, onlays and overdentures in the treatment of tooth surface loss An understanding of the role of aesthetic dentures in partially dentate patients An understanding of predictable precision attachments in restorative dentistry An understanding of restorative/aesthetic treatment planning exercises
DAY 13 Complex Treatment Module The orthodontic, aesthetic, restorative, functional interface GDP orthodontics; clear aligners, short term, comprehensive specialist and lingual orthodontics o What can GDP s treat and what should specialists treat? Aesthetic, restorative aspects of Implantology Course summary putting it all together Restorative/aesthetic treatment planning exercises Learning objectives An understanding of the indications and limitations of clear aligners, short term orthodontics, lingual and comprehensive orthodontics An appreciation of the aesthetic and functional benefits of orthodontics and aesthetic/functional adjunctive role in restorative aesthetic dentistry An understanding of the aesthetic aspects of Implantology An appreciation of restorative aspects of Implantology An understanding of restorative/aesthetic treatment planning exercises Please note days may vary due to lecturer availability/availability of course materials